Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
populations. Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased numb...
TEST BANK
Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
populations. Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed
care ANSWER: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically
from the acute care setting to the ambulatory setting. The number of hospital beds being used
has decreased as more care is provided in outpatient and home settings. The number of
uninsured children in the United States continues to grow. One of the biggest changes in
healthcare has been the growth of managed care.
DIF: Cognitive Level: Comprehension REF: dm 3
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer
this family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
, ANSWER: D
WIC is a federal program that provides supplemental food supplies to low-income women who
are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and
the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
provides for well-child examinations and related treatment of medical problems. Children in
the WIC program are often referred for immunizations, but that is not the primary focus of the
program. Public Law 99-457 provides financial incentives to states to establish comprehensive
early intervention services for infants and toddlers with, or at risk for, developmental
disabilities.
Medicare is the program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
3. In most states, adolescents who are not emancipated minors must have parental
permission before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal
counsel may be consulted to verify the status of the emancipated minor for consent purposes.
Most states allow minors to obtain treatment for drug or alcohol abuse and STDs and allow
access to birth control without parental consent.
DIF: Cognitive Level: Application REF: dm 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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